"Let Down Your Bucket Where You Are": The Afro-American Hospital and Black Health Care in Mississippi, 1924-1966

2006 ◽  
Vol 30 (4) ◽  
pp. 551-569 ◽  
Author(s):  
D. T. Beito ◽  
L. R. Beito
2011 ◽  
Vol 69 (3) ◽  
pp. 316-338 ◽  
Author(s):  
Melissa M. Garrido ◽  
Kirk C. Allison ◽  
Mark J. Bergeron ◽  
Bryan Dowd

The effect of hospital organizational affiliation on perinatal outcomes is unknown. Using the 2004 American Hospital Association Annual Survey and Healthcare Cost and Utilization Project State Inpatient Databases, the authors examined relationships among organizational affiliation, equipment and service availability and provision, and in-hospital mortality for 5,133 infants across five states born with very low and extremely low birth weight and congenital anomalies. In adjusted bivariate probit selection models, the authors found that government hospitals had significantly higher mortality rates than not-for-profit nonreligious hospitals. Mortality differences among other types of affiliation (Catholic, not-for-profit religious, not-for-profit nonreligious, and for-profit) were not statistically significant. This is encouraging as health care reform efforts call for providers at facilities with different institutional values to coordinate care across facilities. Although there are anecdotes of facility religious affiliation being related to health care decisions, the authors did not find evidence of these relationships in their data.


Author(s):  
Marcia Metcalfe

This article comes out of a series of discussions among a diverse group of chief executive officers (CEOs) and other leaders of nonprofit hospitals, long-term care facilities, health maintenance organizations, and other insurance providers, including several nonprofit Blue Cross Blue Shield (BCBS) plans. The group was convened as part of Howard Berman's Walter J. McNerney Fellowship project. (Berman is CEO of Excellus, Inc., a nonprofit Blue Cross Blue Shield affiliate that insures the health of more than 2.15 million people in upstate New York. He was awarded the McNerney Fellowship in April 2001 by the Health Research and Educational Trust, an American Hospital Association affiliate. The Fellowship goes annually to at least one fellow to highlight or pursue work that will provide new insights into how different sectors of the health care system can better work together for improved outcomes.) The group has met several times over the past year around a shared concern: the current challenges to nonprofit health care organizations and the future role for nonprofits in the re-visioning and creation of an American health care system that is characterized by universal access, patient-centered quality, and national affordability. Members have supported the public relations campaign of the “Alliance for Advancing Nonprofit Health Care,” an effort initiated by the Caucus, an independent group of nonprofit BCBS plans. The group continues to explore the need for a broad-based coalition of providers, insurers, and other organizations to effectively protect and enhance the role of nonprofit health care.


2013 ◽  
Vol 41 (S2) ◽  
pp. 19-26 ◽  
Author(s):  
Jennifer L. Foltz ◽  
Brook Belay ◽  
George L. Blackburn

Engaging the health care setting at the systems level to support healthy eating and active living and prevent obesity can help address the problem of obesity. A number of key attributes of the clinical realm impacts population-level obesity prevention. Health care facilities serve large groups of people, including patients seen at the medical facility, the family and friends who accompany them for visits, as well as the large number of employees who provide care and service the facilities. Thus, system-level improvements to the health care setting have great potential for large reach and impact. In 2011 there were more than 5,700 hospitals registered with the American Hospital Association, with more than 36 million inpatient admissions in the U.S. Even more medical facilities are included in the reach of clinics and other places providing care. These facilities also have the potential to influence the health of the surrounding community by serving as promoters and models of healthy eating and active living, which may influence good health practices. A health care facility services communities by integrative work in both the primary care and public health domains.


2020 ◽  
Author(s):  
Young-Rock Hong ◽  
John Lawrence ◽  
Dunc Williams Jr ◽  
Arch Mainous III

BACKGROUND As the novel coronavirus disease (COVID-19) is widely spreading across the United States, there is a concern about the overloading of the nation’s health care capacity. The expansion of telehealth services is expected to deliver timely care for the initial screening of symptomatic patients while minimizing exposure in health care facilities, to protect health care providers and other patients. However, it is currently unknown whether US hospitals have the telehealth capacity to meet the increasing demand and needs of patients during this pandemic. OBJECTIVE We investigated the population-level internet search volume for telehealth (as a proxy of population interest and demand) with the number of new COVID-19 cases and the proportion of hospitals that adopted a telehealth system in all US states. METHODS We used internet search volume data from Google Trends to measure population-level interest in telehealth and telemedicine between January 21, 2020 (when the first COVID-19 case was reported), and March 18, 2020. Data on COVID-19 cases in the United States were obtained from the Johns Hopkins Coronavirus Resources Center. We also used data from the 2018 American Hospital Association Annual Survey to estimate the proportion of hospitals that adopted telehealth (including telemedicine and electronic visits) and those with the capability of telemedicine intensive care unit (tele-ICU). Pearson correlation was used to examine the relations of population search volume for telehealth and telemedicine (composite score) with the cumulative numbers of COVID-19 cases in the United States during the study period and the proportion of hospitals with telehealth and tele-ICU capabilities. RESULTS We found that US population–level interest in telehealth increased as the number of COVID-19 cases increased, with a strong correlation (<i>r</i>=0.948, <i>P</i>&lt;.001). We observed a higher population-level interest in telehealth in the Northeast and West census region, whereas the proportion of hospitals that adopted telehealth was higher in the Midwest region. There was no significant association between population interest and the proportion of hospitals that adopted telehealth (<i>r</i>=0.055, <i>P</i>=.70) nor hospitals having tele-ICU capability (<i>r</i>=–0.073, <i>P</i>=.61). CONCLUSIONS As the number of COVID-19 cases increases, so does the US population’s interest in telehealth. However, the level of population interest did not correlate with the proportion of hospitals providing telehealth services in the United States, suggesting that increased population demand may not be met with the current telehealth capacity. Telecommunication infrastructures in US hospitals may lack the capability to address the ongoing health care needs of patients with other health conditions. More practical investment is needed to deploy the telehealth system rapidly against the impending patient surge.


Author(s):  
Thomas J. Ward

The medical and health care history of African Americans is a small but growing field of historical study. Much of the research done on the subject in the early 20th century was conducted by black medical professionals themselves. John Kenney, Booker T. Washington’s personal physician, authored one of the very first studies of black medical professionals, The Negro in Medicine, in 1912, while other a number of other black physicians, including Midian O. Bousfield and Paul Cornely, authored numerous books and articles on the black medical experience in the early and mid-20th century. The field was, in many ways, founded by the legendary Howard University Medical School Professor Dr. W. Montague Cobb, who, while not a historian by training, was among the first to chronicle the contributions of black physicians, hospitals, and medical schools in his articles for the Journal of the National Medical Association (the black counterpart to the Journal of the American Medical Association) and for the NAACP’s The Crisis. Perhaps the single most important activist in the struggle for integration in the medical profession, Cobb’s writings provide invaluable insights into the fight for the desegregation of hospitals, professional associations, and medical schools. Finally, Cobb was central in collecting and assembling the papers of prominent black physicians, and, due to his efforts, Howard University’s Moorland-Spingarn Research Center houses the most significant manuscript collections regarding African-American health care and medicine. In addition to Howard University, important manuscript collections regarding black health care are housed at the Amistad Center at Tulane University, at Meharry Medical College Archives, and at Fisk University’s Special Collections. Not surprisingly, the focus of most historians of black healthcare has been on issues of slavery, including Todd L. Savitt’s classic work Medicine and Slavery: The Diseases and Health Care of Blacks in Antebellum Virginia (1981) and Deidre Cooper Owens’ Medical Bondage: Race, Gender, and the Origins of American Gynecology, as well as studies that focused on racial discrimination in the American health care system, such as Edward H. Beardsley’s, A History of Neglect (1987) and Thomas J. Ward’s Black Physicians in the Jim Crow South (2003). The Tuskegee syphilis study has been one of the few African-American healthcare topics that has received wide attention, most famously in James Jones’s Bad Blood: The Tuskegee Syphilis Experiment (1984, 1993), and increasingly there has been more attention paid to issues regarding the impact that government policies have played in black health, including David Barton Smith’s Health Care Divided: Race and Healing a Nation (1999) and David McBride’s Caring for Equality: A History of African American Health and Health Care (2018).


1999 ◽  
Vol 27 (4) ◽  
pp. 366-379
Author(s):  
Melissa Ballengee

Ever since the U.S. Attorney General named health care fraud as the government's second highest priority after violent crime, the government has cracked down on health care fraud and abuse. Some of this crackdown has been needed. The General Accounting Office (GAO) estimates that as much as 10 percent of all government expenditures on health care are being siphoned out of the system because of fraud or abuse.The extreme measures taken to curb health care abuse have raised eyebrows, however. The American Medical Association and the American Hospital Association both have been vocal in their disapproval, describing the current enforcement initiative as “absolutely out of control.” The associations even went so far as to file suit to enjoin the government's actions.


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